Schedule does not include classes during December and February breaks. However, for those interested,
supplemental classes will be offered during those weeks for an additional fee.

Program consists of scheduled classes regardless of attendance.
YOUR KEYS TO SUCCESS ARE CONSISTENTCY AND DEDICATION!

It is highly recommended that each player participate in both sessions each week and use the home
workout routine that the NVDP will provide.

Before starting the program, the registration form below and a waiver form must be completed
and submitted with a check for the applicable fee. Checks should be made payable to Jeff Slane.
Please send forms and checks to: I.S.T Baseball Headquarters, 25 Van Zant St., Unit 3B,
Norwalk, CT. 06855
For info please call Jeff Slane at 203-583-1600 or email j.slane@yahoo.com
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Are there any physical limitations, special circumstances, or other medical information that we should be aware of? YES / NO
If yes, please explain on reverse side:
I, ________________________ hereby enrolled in a program of strenuous physical activity including but not limited to weight
training, and various aerobic conditioning machinery (the “Exercise Program”) offered by Integrated Sports Training, LLC
(“Integrated”). I hereby represent that I am in good physical condition and do not suffer from any disability that would prevent
or limit my participation in this Exercise Program. I understand that Integrated has not and will not render any medical services
including medical diagnosis of my physical condition. If there is any change in my physical condition, I shall immediately
report this to Integrated.
In consideration of my participation in Integrated’s Exercise program, I __________________ for myself, my heirs and
assigns, hereby release and agree to hold harmless Integrated, it’s employees, officers, members and agents from any claims,
demands, and causes of action from my participation in the Exercise Program and causing my death, personal injury, property
damage or loss of any kind.
I fully understand that I may injure myself as a result of my participation in Integrated’s Exercise program and
I,___________________ hereby release and agree to hold harmless Integrated, its employees, officers, members and agents
from any liability now or in the future however caused, including Integrated’s acts of negligence or omissions occurring during
or after my participation in the Exercise Program.
I HEREBY REPRESENT THAT I HAVE READ, REVIEWED AND FULLY UNDERSTAND
THE ABOVE. I HEREBY REPRESENT THAT I HAVE DISCUSSED THE CONTENTS OF THIS CLIENT WAIVER
FORM WITH A REPRESENTATIVE OF INTEGRATED. If I am not over the age of 18, this form is signed by my parent or
legal guardian on my behalf.
Parent Signature: ______________________ Print Name: ________________________